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PUBLIC WORKS,, <br />Dale <br />4/13!2007 <br />PA0704-033 <br />_- IJ«, 07.36 <br />Public Works Permit# <br />PERMIT REG-1 014 <br />Permit # <br />CT <br />1 <br />Building <br />C.07 Cq --5Z [p <br />PUBLIC WOR�G$,,OEPgFjTt�A�T}0�ri <br />3200 Ce e�Str691 <br />Planning Heterence# <br />c <br />Everett, WA 9B 01 <br />(425) 2571BBibllG. $721.55 <br />Public Works Fee $ <br />525 .00 <br />1 S C $4.50 <br />Guarantee S <br />:9 <br />OWNERNAME <br />ANDADDRESS: CORT WILLIAM R 1 MC <br />APPLICANT (t) <br />AND ADOREYY, II <br />PO BOY. 713 8�TT11�� <br />WA 1 W415 <br />45,, <br />LYNNWOOD <br />7I".1 <br />PHONE: 4253444946 1 SEWER <br />PHONE. 57 A <br />TAX PARCEL I.D.# <br />2805050010230 1 UUATEk <br />PROJECT <br />5819 <br />S 2ND AVE <br />DESCRIPTION OFPROPOSED -� rRT n rat}'err $3! 037 _ 44 <br />WORK: �*^ri ""—"- <br />K $3/3 037.44 <br />//1 / '' 1 ry %Fl <br />/� <br />/ J V a) ' �"- us-0„ -L Q )f L,- r'at <br />PERMIT CONDITIONS PARCEL 'A' OF BLA06-008 <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.424-5555 <br />` <br />r <br />4. Connect side sewer per City Standard #'s 601, 602, 604 or pump as required <br />N <br />5. The contractor must meet with the Public Works Inspector to discuss potential <br />drainage routing prior to beginning the project. <br />W <br />6. Install erosion control measures as determined by the Public Works inspector, such <br />as silt fence, straw bales, swales, or erosion blankets. <br />7. Remove erosion control measures upon completion of the project prier to final <br />approval of the permit. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />z <br />9. Adjust water meter box 1" above sidewalk grade. <br />10. Pave driveway from the front property line out to the street paving. <br />0 <br />FOR PUBLIC WORKS INSPECTION, CALL RANDY AT 425-339-7403 <br />''f ^-- <br />V/ <br />0 <br />6r 7 * ��- <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damaged thereby. <br />Signature of Applicant Date <br />DAYS OF DATE PERMIT IS ISSUED AND THEEAFTER IS TO BE DILIGENTLY <br />TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITYI80 <br />UPON ANY STOPPAGE OF WORK ON THIS PROJEC OVER 90 DAYS DURAT ONPURSUED <br />EPWP (TAM) DATABAR, INC. <br />